Replacement propulsion wheel for manual wheelchair

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Propulsion whl excl tire rep

Payers reporting HCPCS E2224

Payer pricing summary

Low

Average

$110

Median

$102

High

$393

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +6 other terms	267	$112	$99	$42	42%	—	$8 – $462
2	Aetna fee schedule · outpatient · +5 other terms	259	$115	$117	$78	66%	—	$5 – $644
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	256	$115	$86	$42	48%	—	$5 – $146
4	WellCare fee schedule · outpatient · +2 other terms	185	$119	$120	$19	16%	—	$107 – $213
5	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	181	$118	$128	$56	44%	—	$0 – $449
6	Devoted fee schedule · outpatient · +1 other terms	165	$115	$108	$24	22%	—	$11 – $145
7	Cigna Healthspring fee schedule · outpatient	111	$120	$114	$7	6%	—	$110 – $142
8	Molina fee schedule · outpatient · +3 other terms	96	$144	$128	$71	56%	—	$10 – $311
9	Cigna fee schedule · outpatient · +4 other terms	77	$119	$103	$61	59%	—	$11 – $339
10	Superior Healthplan fee schedule · outpatient	40	$115	$115	$2	1%	—	$115 – $125
11	Anthem fee schedule · outpatient · +5 other terms	38	$115	$85	$45	53%	—	$11 – $137
12	Clover fee schedule · outpatient	34	$115	$114	$7	6%	—	$107 – $125
13	Bcbs Tx fee schedule · outpatient	31	$108	$111	$33	29%	—	$82 – $407
14	Optum fee schedule · outpatient · +2 other terms	28	$115	$93	$58	62%	—	$11 – $274
15	Kaiser fee schedule · outpatient · +3 other terms	27	$116	$83	$46	55%	—	$11 – $137
16	Oscar fee schedule · outpatient	24	$107	$113	$7	6%	—	$107 – $121
17	Medicare fee schedule · outpatient	18	$75	$73	$45	62%	—	$11 – $137
18	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$138	$140	$6	4%	—	$132 – $159
19	Caresource fee schedule · outpatient · +3 other terms	15	$115	$115	—	—	—	$115 – $115
20	Wellmark fee schedule · both · +1 other terms	13	$64	$64	$52	82%	—	$8 – $117
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$115	$117	$31	26%	—	$58 – $139
22	Bcbs Nj fee schedule · outpatient	12	$107	$230	$156	68%	—	$107 – $473
23	MultiPlan facility · fee schedule · outpatient · +2 other terms	11	$40	$67	$87	129%	—	$40 – $342
24	Highmark fee schedule · outpatient · +3 other terms	10	$70	$72	$59	82%	—	$5 – $279
25	Medica fee schedule · outpatient · +4 other terms	10	$225	$214	$73	34%	—	$17 – $290

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